Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1, 2014

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1 Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1, 2014 As part of the Affordable Care Act s goal to reduce the number of uninsured, it makes several key changes in Medicaid eligibility. As enacted, the ACA expands Medicaid to nearly all individuals with incomes at or below 138% FPL ($16,104 for an individual or $27,310 for a family of three in 2014) beginning as of January However, this expansion was effectively made a state option by the Supreme Court ruling on the ACA. A total of 27 states, including DC, are currently implementing the ACA Medicaid expansion in There is no deadline for states to adopt the expansion, and several states are still actively considering the option. The ACA also established new streamlined eligibility and enrollment processes for Medicaid, which all states must implement regardless of their Medicaid expansion decisions. These new streamlined processes include a change in how financial eligibility is determined for many Medicaid beneficiaries to be based on Modified Adjusted Gross Income (MAGI). This change is designed to standardize the approach to determining financial eligibility across states as well as health insurance affordability programs. As part of the transition to use of MAGI, states converted their existing Medicaid income limits to MAGI-equivalent limits. Based on data released by CMS, this brief provides an overview of Medicaid and CHIP eligibility levels for non-disabled children and adults across states as of April 1, 2014, reflecting state Medicaid expansion decisions and the conversion to MAGIbased limits. 2 As of April 1, 2014, more than half of the states (29, including DC) cover children in families with incomes at or above 250% FPL and 19, including DC, cover children in families with incomes at or above 300% FPL (Figure 1, Table 1-1A). Moreover, as of April 2014, 18 states that previously covered older children up to 133% FPL in separate CHIP programs now provide coverage for these children in Medicaid, as the ACA established a minimum Medicaid eligibility level of 138% FPL for all children up to age With the exception of Arizona, CHIP enrollment is open in all states. The ACA preserves this base of children s coverage by requiring states to maintain eligibility and enrollment policies in place at the time the ACA was enacted (March 23, 2010) until September 30, 2019 for children in both Medicaid and CHIP. Prior to the ACA, states were required to cover pregnant women in Medicaid to at least 133% FPL, although most states had expanded beyond this minimum and have maintained this coverage in As of April 1, 2014, 30 states, including DC, cover pregnant women at or above 200% FPL (Figure 2, Table 2-2A). However, the ACA requirement to maintain coverage for pregnant women ended on January 1, 2014 and three states (LA, OK, and VA) have since reduced eligibility levels for pregnant women. Figure 1 Children's Eligibility for Medicaid/CHIP by Income, April 2014 OR WA NV UT MT WY NM ND SD NE HI 300% or higher FPL (19 states, including DC) % FPL (10 states) 175% - 249% FPL (22 states) NOTE: Thresholds include the standard 5 percentage point of the FPL disregard. SOURCE: Based on data from the Centers for Medicare and Medicaid Services, available at as of April 1, Figure 2 CA AK ID AZ (CHIP closed) CO Eligibility for Pregnant Women in Medicaid/CHIP by Income, April 2014 CA AK OR WA NV ID AZ UT MT WY NM HI CO ND SD NE KS TX OK MN IA MO AR LA WI IL MS IN MI TN AL KY OH WV GA SC PA VT VA NC FL NY ME NH MA CT RI NJ DE MD DC MA CT RI NJ DE MD DC 250% FPL or Higher (9 states, including DC) 200% - 249% FPL (21 states) 138% - 199% FPL (21 states) NOTE: Thresholds include the standard 5 percentage point of the FPL disregard. SOURCE: Based on data from the Centers for Medicare and Medicaid Services, available at as of January 1, KS TX OK MN IA MO AR LA WI IL MS IN MI TN AL KY OH WV GA SC PA VT VA NC FL NY ME NH

2 Prior to 2014, 15 of the 27 states implementing the Medicaid expansion already covered parents at or above the poverty level through Medicaid, but only nine (9) states provided full Medicaid coverage to adults without dependent children. In the states implementing the Medicaid expansion in 2014, eligibility levels increased for parents in 16 states and for childless adults in 24 states. Overall, in these states, the median eligibility threshold for parents rose from 106% in January 2013 to 138% FPL as of April 2014, while the median threshold for childless adults jumped from 0% to 138% FPL. As of April 2014, three (3) states (CT, DC, and MN) cover parents above 138% FPL and two (DC and MN) cover childless adults above this level. Figure 3 Medicaid Eligibility for Parents of Dependent Children by Income, April 2014 AK CA OR WA NV ID AZ UT MT WY NM HI CO ND SD NE Thresholds include the standard 5 percentage point of the FPL disregard. MI does not plan to implement the Medicaid expansion until April WI received approval for a waiver to provide full coverage to parents up to 100% FPL as of April SOURCE: Based on data from the Centers for Medicare and Medicaid Services available at as of April 1, KS TX OK MN IA MO AR LA WI IL MS IN MI TN AL KY OH WV GA SC PA VT VA NC FL NY ME NH MA CT RI NJ DE MD DC < 50% FPL (12 states) 50% - 138% FPL (12 states) 138% FPL or Greater (27 states, including DC) As of April 2014, eligibility levels for parents are below poverty in 20 of these states and below half of poverty in 12 states (Figure 3, Table 3-3A), and childless adults generally remain ineligible for Medicaid at any income level (Figure 4, Table 3). Overall, among the 24 states not implementing the Medicaid expansion at this time, the median eligibility level for parents is just 49% FPL, with only four (4) states (AK, ME, TN, and WI) covering parents with incomes at or above poverty. Only Wisconsin is providing full Medicaid coverage to adults without dependent children. Parents and other adults with incomes above these limited Medicaid eligibility levels but below 100% FPL fall into a coverage gap; they remain ineligible for Medicaid but do not earn enough to qualify for the premium tax credits for new Marketplace coverage. This gap leaves nearly five million uninsured adults without a new coverage option. 4 Figure 4 Medicaid Eligibility for Childless Adults by Income, April 2014 AK CA OR WA NV ID AZ UT MT WY NM HI CO ND SD NE TX Thresholds include the standard 5 percentage point of the FPL disregard. NH does not plan to implement the Medicaid expansion until July WI received approval for a waiver to provide full coverage to childless adults up to 100% FPL as of April SOURCE: Based on data from the Centers for Medicare and Medicaid Services available at: as of April 1, KS OK MN IA MO AR LA WI IL MS IN MI TN AL KY OH WV GA SC PA VT VA NC FL NY ME NH MA CT RI NJ DE MD DC No coverage (23 states) 100% FPL (1 state) 138% FPL or Greater (27 states, including DC) In sum, as of April 2014, Medicaid coverage for adults significantly increased in the 27 states implementing the Medicaid expansion and eligibility levels for children and pregnant women remain strong across states. As such, the Medicaid expansion offers the potential to significantly reduce the number of uninsured. However, in contrast to gains in states expanding Medicaid, large coverage gaps remain in states that are not expanding, leaving millions of poor uninsured adults without access to a new coverage option. 1 New Hampshire plans to implement the Medicaid expansion in July Indiana and Pennsylvania have pending waivers for Medicaid expansion plans would be implemented post Based on data from the Centers for Medicare and Medicaid Services (CMS), State Medicaid and CHIP Income Eligibility Standards Effective April 1, While the new minimum eligibility threshold is 133 percent of the FPL, the standard five percentage point of the FPL disregard is included to represent the highest threshold at an individual may be eligible for Medicaid. 4 For more information, see: Kaiser Commission on Medicaid and the Uninsured, The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid. Updated April Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1,

3 State Upper Income Limit Medicaid for Infants Medicaid for Children Medicaid for Children Separate CHIP Ages 0 <1 1 Ages Ages Ages Median 255% 208% 163% 155% 255% Alabama 317% 146% 146% 146% 317% Alaska 208% 208% 208% 208% N/A Arizona 4 205% (closed) 152% 146% 138% 205% (closed) Arkansas 216% 216% 216% 216% N/A California 266% 266% 266% 266% N/A Colorado 265% 147% 147% 147% 265% Connecticut 323% 201% 201% 201% 323% Delaware 217% 217% 147% 138% 217% (1-18) District of Columbia 324% 324% 324% 324% N/A Florida 215% 211% 145% 138% 215% (1-18) Georgia 252% 210% 154% 138% 252% Hawaii 359% 313% 359% 359% N/A Idaho 190% 147% 147% 138% 190% Illinois 318% 147% 147% 147% 318% Indiana 255% 213% 163% 163% 255% Iowa 380% 380% 172% 172% 307% (1-18) Kansas 250% 171% 154% 138% 250% Kentucky 218% 200% 164% 164% 218% Louisiana 255% 217% 217% 217% 255% Maine 213% 196% 162% 162% 213% Maryland 322% 322% 322% 322% N/A Massachusetts 305% 205% 155% 155% 305% Michigan 217% 200% 165% 165% 217% Minnesota 288% 288% 280% 280% N/A Mississippi 214% 199% 148% 138% 214% Missouri 305% 201% 155% 155% 305% Montana 266% 148% 148% 148% 266% Nebraska 218% 218% 218% 218% N/A Nevada 205% 165% 165% 138% 205% New Hampshire 323% 323% 323% 323% N/A New Jersey 355% 199% 147% 147% 355% New Mexico 305% 305% 305% 245% N/A New York 405% 223% 154% 154% 405% North Carolina 216% 215% 215% 138% 216% (6-18) North Dakota 175% 152% 152% 138% 175% Ohio 211% 211% 211% 211% N/A Oklahoma 210% 210% 210% 210% N/A Oregon 305% 190% 138% 138% 305% Pennsylvania 319% 220% 162% 138% 319% Rhode Island 266% 266% 266% 266% N/A South Carolina 213% 213% 213% 213% N/A South Dakota 209% 187% 187% 187% 209% Tennessee 255% 200% 147% 138% 255% Texas 206% 203% 149% 138% 206% Utah 205% 144% 144% 138% 205% Vermont 317% 317% 317% 317% 317% Virginia 205% 148% 148% 148% 205% Washington 317% 215% 215% 215% 317% West Virginia 305% 163% 146% 138% 305% Wisconsin 306% 306% 191% 156% 306% (1-18) Wyoming 205% 159% 159% 138% 205% ** 2014 thresholds include the standard five percentage point of the federal poverty level disregard. SOURCE: Based on data from the Centers for Medicare and Medicaid Services, available at: Moving-Forward-2014/Medicaid-and-CHIP-Eligibility-Levels/medicaid-chip-eligibility-levels.html as of April 1, 2014 Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1,

4 Medicaid for Infants Medicaid for Children Medicaid for Children State Upper Separate CHIP Income Limit Ages 0 <1 1 Ages Ages Ages Median $ 50,961 $ 41,562 $ 32,262 $ 30,678 $ 50,466 Alabama $ 62,730 $ 28,890 $ 28,890 $ 28,890 $ 62,730 Alaska $ 51,457 $ 51,692 $ 51,692 $ 51,692 N/A Arizona 4 $40,566 $40,566 $ 30,078 $ 28,890 $ 27,306 (closed) (closed) Arkansas $ 42,750 $ 42,750 $ 42,750 $ 42,750 N/A California $ 52,638 $ 52,638 $ 52,638 $ 52,638 N/A Colorado $ 52,446 $ 29,094 $ 29,094 $ 29,094 $ 52,446 Connecticut $ 63,918 $ 39,774 $ 39,774 $ 39,774 $ 63,918 Delaware $ 42,944 $ 42,942 $ 29,094 $ 27,306 $ 42,942 District of Columbia $ 64,122 $ 64,122 $ 64,122 $ 64,122 N/A Florida $ 42,549 $ 41,754 $ 28,698 $ 27,306 $ 42,546 Georgia $ 49,866 $ 41,562 $ 30,474 $ 27,306 $ 49,866 Hawaii $ 81,763 $ 71,459 $ 71,459 $ 71,459 N/A Idaho $ 37,602 $ 29,094 $ 29,094 $ 27,306 $ 37,602 Illinois $ 62,934 $ 29,094 $ 29,094 $ 29,094 $ 62,934 Indiana $ 50,466 $ 42,150 $ 32,262 $ 32,262 $ 50,466 Iowa $ 75,198 $ 75,198 $ 34,038 $ 34,038 $ 59,670 Kansas $ 49,470 $ 33,846 $ 30,474 $ 27,306 $ 49,470 Kentucky $ 43,146 $ 39,582 $ 32,454 $ 32,454 $ 43,146 Louisiana $ 50,466 $ 42,942 $ 42,942 $ 42,942 $ 50,466 Maine $ 42,150 $ 38,790 $ 32,058 $ 32,058 $ 42,150 Maryland $ 63,726 $ 63,726 $ 63,726 $ 63,726 N/A Massachusetts $ 60,366 $ 40,566 $ 30,678 $ 30,678 $ 60,366 Michigan $ 42,942 $ 39,582 $ 32,658 $ 32,658 $ 42,942 Minnesota $ 56,994 $ 56,994 $ 55,410 $ 55,410 N/A Mississippi $ 42,354 $ 39,378 $ 29,286 $ 27,306 $ 42,354 Missouri $ 60,366 $ 39,774 $ 30,678 $ 30,678 $ 60,366 Montana $ 52,638 $ 29,286 $ 29,286 $ 29,286 $ 52,638 Nebraska $ 43,146 $ 43,146 $ 43,146 $ 43,146 N/A Nevada $ 40,566 $ 32,658 $ 32,658 $ 27,306 $ 40,566 New Hampshire $ 63,918 $ 63,918 $ 63,918 $ 63,918 N/A New Jersey $ 70,254 $ 39,378 $ 29,094 $ 29,094 $ 70,254 New Mexico $ 60,366 $ 60,366 $ 60,366 $ 48,486 N/A New York $ 80,154 $ 44,130 $ 30,474 $ 30,474 $ 80,154 North Carolina $ 42,746 $ 42,546 $ 42,546 $ 27,306 $ 42,750 North Dakota $ 34,638 $ 30,078 $ 30,078 $ 27,306 $ 34,638 Ohio $ 41,754 $ 41,754 $ 41,754 $ 41,754 N/A Oklahoma $ 41,562 $ 41,562 $ 41,562 $ 41,562 N/A Oregon $ 60,366 $ 37,602 $ 27,306 $ 27,306 $ 60,366 Pennsylvania $ 63,126 $ 43,542 $ 32,058 $ 27,306 $ 63,126 Rhode Island $ 52,638 $ 52,638 $ 52,638 $ 52,638 N/A South Carolina $ 42,150 $ 42,150 $ 42,150 $ 42,150 N/A South Dakota $ 41,358 $ 37,002 $ 37,002 $ 37,002 $ 41,358 Tennessee $ 50,466 $ 39,582 $ 29,094 $ 27,306 $ 50,466 Texas $ 40,770 $ 40,170 $ 29,490 $ 27,306 $ 40,770 Utah $ 40,566 $ 28,494 $ 28,494 $ 27,306 $ 40,566 Vermont $ 62,730 $ 62,730 $ 62,730 $ 62,730 $ 62,730 Virginia $ 40,566 $ 29,286 $ 29,286 $ 29,286 $ 40,566 Washington $ 62,730 $ 42,546 $ 42,546 $ 42,546 $ 62,730 West Virginia $ 60,366 $ 32,262 $ 28,890 $ 27,306 $ 60,366 Wisconsin $ 60,557 $ 60,558 $ 37,794 $ 30,870 $ 60,558 Wyoming $ 40,566 $ 31,470 $ 31,470 $ 27,306 $ 40,566 ** 2014 thresholds include the standard five percentage point of the federal poverty level disregard. SOURCE: Based on data from the Centers for Medicare and Medicaid Services, available at: Moving-Forward-2014/Medicaid-and-CHIP-Eligibility-Levels/medicaid-chip-eligibility-levels.html as of April 1, 2014 Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1,

5 1. Income eligibility levels listed include regular Medicaid (Title XIX) where the state receives Medicaid matching payments and any CHIP-funded Medicaid expansion program (Title XXI) where the state receives the enhanced CHIP matching payments for these children. To be eligible in the infant category, a child has not yet reached his or her first birthday; to be eligible in the 1-5 category, the child is age one or older, but has not yet reached his or her sixth birthday; and to be eligible in the 6-19 category, the child is age six or older, but has not yet reached his or her 19th birthday. 2. The states noted use federal CHIP funds to operate separate child health insurance programs for children not eligible for Medicaid. Such programs may provide benefits similar to Medicaid or they may provide a limited benefit package. They also may impose premiums or other cost-sharing obligations on some or all families with eligible children. These programs typically provide coverage through the child s 19th birthday. 3. Eligibility levels are based on 2014 federal poverty levels. Income limits reflect MAGI converted income standards and include a disregard equal to five (5) percentage points of the federal poverty level. 4. Arizona instituted an enrollment freeze in its CHIP program, KidsCare, on December 21, The program remains closed to new applicants. Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1,

6 ** State April Median 201% Alabama 146% Alaska 205% Arizona 161% Arkansas 214% California 213% Colorado 2 200%/265% Connecticut 263% Delaware 217% District of Columbia 324% Florida 196% Georgia 225% Hawaii 196% Idaho 138% Illinois 213% Indiana 213% Iowa 380% Kansas 171% Kentucky 200% Louisiana 138% Maine 214% Maryland 264% Massachusetts 205% Michigan 200% Minnesota 283% Mississippi 199% Missouri 201% Montana 162% Nebraska 199% Nevada 165% New Hampshire 201% New Jersey 2 199%/205% New Mexico 255% New York 223% North Carolina 201% North Dakota 152% Ohio 205% Oklahoma 138% Oregon 3 190% Pennsylvania 220% Rhode Island 2 195%/258% South Carolina 199% South Dakota 138% Tennessee 200% Texas 203% Utah 144% Vermont 213% Virginia 2 148% Washington 198% West Virginia 163% Wisconsin 306% Wyoming 159% ** 2014 thresholds include the standard five percentage point of the federal poverty level disregard. SOURCE: Based on data from the Centers for Medicare and Medicaid Services, available at: as of January 1, Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1,

7 ** State April Median $ 39,778 Alabama $ 28,893 Alaska $ 50,717 Arizona $ 31,862 Arkansas $ 42,351 California $ 42,153 Colorado 2 $ 39,580/$52,444 Connecticut $ 52,048 Delaware $ 42,944 District of Columbia $ 64,120 Florida $ 38,788 Georgia $ 44,528 Hawaii $ 44,668 Idaho $ 27,310 Illinois $ 42,153 Indiana $ 42,153 Iowa $ 75,202 Kansas $ 33,841 Kentucky $ 39,580 Louisiana $ 27,310 Maine $ 42,351 Maryland $ 52,246 Massachusetts $ 40,570 Michigan $ 39,580 Minnesota $ 56,006 Mississippi $ 39,382 Missouri $ 39,778 Montana $ 32,060 Nebraska $ 39,382 Nevada $ 32,654 New Hampshire $ 39,778 New Jersey 2 $ 30,382/$40,570 New Mexico $ 50,465 New York $ 44,132 North Carolina $ 39,778 North Dakota $ 30,081 Ohio $ 40,570 Oklahoma $ 27,310 Oregon 3 $ 37,601 Pennsylvania $ 43,538 Rhode Island 2 $ 38,591/$51,058 South Carolina $ 39,382 South Dakota $ 27,310 Tennessee $ 39,580 Texas $ 40,174 Utah $ 28,498 Vermont $ 42,153 Virginia 2 $ 29,289 Washington $ 39,184 West Virginia $ 32,258 Wisconsin $ 60,557 Wyoming $ 31,466 ** 2014 thresholds include the standard five percentage point of the federal poverty level disregard. SOURCE: Based on data from the Centers for Medicare and Medicaid Services, available at: as of January 1, Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1,

8 1. Eligibility levels are based on 2014 federal poverty levels. Income limits reflect MAGI converted income standards, and include a disregard equal to five (5) percentage points of the federal poverty level. 2. For states with two levels listed, the value before the slash is the eligibility limit for pregnant women in Medicaid and the value after the slash is the limit for coverage through the state s Title XXI-funded CHIP program. 3. Oregon covers pregnant CHIP beneficiaries to age 19 up to 305% of the FPL. Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1,

9 ** State Parents of Dependent Children (in a family of three) Other Non-Disabled Adults (for an individual) IMPLEMENTING THE MEDICAID EXPANSION IN 2014 (27 states, including DC) 2 Median 138% 138% Arizona 138% 138% Arkansas 138% 138% California 138% 138% Colorado 138% 138% Connecticut 201% 138% Delaware 138% 138% District of Columbia 221% 215% Hawaii 138% 138% Illinois 138% 138% Iowa 138% 138% Kentucky 138% 138% Maryland 138% 138% Massachusetts 138% 138% Michigan 138% 138% Minnesota 205% 205% Nevada 138% 138% New Hampshire 3 75% 0% New Jersey 138% 138% New Mexico 138% 138% New York 138% 138% North Dakota 138% 138% Ohio 138% 138% Oregon 138% 138% Rhode Island 138% 138% Vermont 138% 138% Washington 138% 138% West Virginia 138% 138% NOT MOVING FORWARD WITH MEDICAID EXPANSION AT THIS TIME (24 states) 2 Median 49% 0% Alabama 18% 0% Alaska 134% 0% Florida 35% 0% Georgia 40% 0% Idaho 29% 0% Indiana 25% 0% Kansas 38% 0% Louisiana 24% 0% Maine 105% 0% Mississippi 28% 0% Missouri 23% 0% Montana 52% 0% Nebraska 62% 0% North Carolina 50% 0% Oklahoma 47% 0% Pennsylvania 38% 0% South Carolina 67% 0% South Dakota 63% 0% Tennessee 110% 0% Texas 20% 0% Utah 56% 0% Virginia 54% 0% Wisconsin 6 100% 100% Wyoming 61% 0% ** Eligibility thresholds include the standard five percentage point of the federal poverty level disregard. SOURCE: Based on data from the Centers for Medicare and Medicaid Services, available at: Forward-2014/Medicaid-and-CHIP-Eligibility-Levels/medicaid-chip-eligibility-levels.html as of April 1, 2014 Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1,

10 ** State Parents of Dependent Children (in a family of three) Other Non-Disabled Adults (for an individual) IMPLEMENTING THE MEDICAID EXPANSION IN 2014 (27 states, including DC) 2 Median $ 27,310 $ 16,105 Arizona $ 27,310 $ 16,105 Arkansas $ 27,310 $ 16,105 California $ 27,310 $ 16,105 Colorado $ 27,310 $ 16,105 Connecticut $ 39,777 $ 16,105 Delaware $ 27,310 $ 16,105 District of Columbia $ 43,735 $ 25,091 Hawaii $ 31,408 $ 18,519 Illinois $ 27,310 $ 16,105 Iowa $ 27,310 $ 16,105 Kentucky $ 27,310 $ 16,105 Maryland $ 27,310 $ 16,105 Massachusetts $ 27,310 $ 16,105 Michigan $ 27,310 $ 16,105 Minnesota $ 40,569 $ 23,924 Nevada $ 27,310 $ 16,105 New Hampshire 3 $ 14,645 $ - New Jersey $ 27,310 $ 16,105 New Mexico $ 27,310 $ 16,105 New York $ 27,310 $ 16,105 North Dakota $ 27,310 $ 16,105 Ohio $ 27,310 $ 16,105 Oregon $ 27,310 $ 16,105 Rhode Island $ 27,310 $ 16,105 Vermont $ 27,310 $ 16,105 Washington $ 27,310 $ 16,105 West Virginia $ 27,310 $ 16,105 NOT MOVING FORWARD WITH MEDICAID EXPANSION AT THIS TIME (24 states) 2 Median $ 9,599 $ - Alabama $ 3,557 $ - Alaska $ 33,157 $ - Florida $ 6,929 $ - Georgia $ 7,913 $ - Idaho $ 5,741 $ - Indiana $ 4,949 $ - Kansas $ 7,517 $ - Louisiana $ 4,745 $ - Maine $ 20,779 $ - Mississippi $ 5,537 $ - Missouri $ 4,554 $ - Montana $ 10,289 $ - Nebraska $ 12,269 $ - North Carolina $ 9,893 $ - Oklahoma $ 9,305 $ - Pennsylvania $ 7,517 $ - South Carolina $ 13,253 $ - South Dakota $ 12,473 $ - Tennessee $ 21,773 $ - Texas $ 3,953 $ - Utah $ 11,081 $ - Virginia $ 10,685 $ - Wisconsin 6 $ 19,790 $ 11,670 Wyoming $ 12,078 $ - ** Eligibility thresholds include the standard five percentage point of the federal poverty level disregard. SOURCE: Based on data from the Centers for Medicare and Medicaid Services, available at: Forward-2014/Medicaid-and-CHIP-Eligibility-Levels/medicaid-chip-eligibility-levels.html as of April 1, 2014 Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1,

11 1. Eligibility levels are based on 2014 federal poverty levels. Income limits reflect MAGI converted income standards, and include a disregard equal to five (5) percentage points of the federal poverty level. 2. This table indicates state decisions on the Medicaid expansion as of April 1, Per CMS guidance, there is no deadline for states to implement the Medicaid expansion. 3. New Hampshire does not plan to implement the expansion until July In New Jersey, parents with incomes above 138% FPL that were previously covered with Title XXI CHIP funding were moved to the Marketplace as of January 1, 2013 and may be eligible for tax credits to purchase coverage. 5. These states currently have additional coverage for parents or other adults above state plan limits through a section 1115 demonstration. The demonstrations include limits on eligibility and/or benefits, do not offer coverage on a statewide basis, and/or include an enrollment cap. 6. Wisconsin received approval for waiver that provides full Medicaid coverage to parents and childless adults up to 100% FPL as of April 1, The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA Phone Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC Phone Alerts: kff.org/ facebook.com/kaiserfamilyfoundation twitter.com/kaiserfamfound Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.

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